- Title
- An atypical manifestation of lateral medullary syndrome
- Creator
- Chakraborty, Uddalak; Banik, Biswajit; Chandra, Atanu; Pal, Jyotirmoy
- Date
- 2019
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/183305
- Identifier
- vital:16271
- Identifier
-
https://doi.org/10.1093/omcr/omz139
- Identifier
- ISBN:2053-8855 (ISSN)
- Abstract
- Lateral medullary syndrome is a common brainstem stroke associated with a classical triad of Horner's Syndrome, ipsilateral ataxia and hypalgesia and thermoanasthesia of ipsilateral face.We report a case of a 49-year-old diabetic, non-hypertensive, postmenopausal female who presented with symptoms involving the left dorsal medulla along with right sided hemiparesis and left UMN-type facial palsy. Contralateral hemiparesis was explained by caudal extension of infarct involving the pyramids before decussation at the medulla, known as Babinski-Nageotte Syndrome. UMN-type facial palsy was attributed to involvement of hypothetical supranuclear aberrant corticobulbar fibres of facial nerve which descend down in the contralateral ventromedial medulla, decussate at level of upper medulla and then ascend in the dorsolateral medulla to reach the facial nerve nucleus. Association of these two entities with Wallenberg's Syndrome have been reported separately in literature, but not together as in this case. © The Author(s) 2019.
- Publisher
- Oxford University Press
- Relation
- Oxford Medical Case Reports Vol. 2019, no. 12 (2019), p. 527-529
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- http://creativecommons.org/licenses/by-nc/4.0/
- Rights
- Copyright © The Author(s) 2019
- Rights
- Open Access
- Subject
- 3202 Clinical Sciences
- Full Text
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